Evidence map›Paper›PMID 36894588›Full record

ArticleScientific reports2023

A comparative analysis of clinicopathological features and survival between pre and postmenopausal breast cancer from an Indian cohort.

Vidya P Nimbalkar, Savitha Rajarajan, Snijesh V P, Annie Alexander, Rohini Kaluve, Sumithra Selvam, Rakesh Ramesh, Srinath B S, Jyothi S Prabhu

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vidya P NimbalkarDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India.
Savitha RajarajanDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India.
Snijesh V PDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India.
Annie AlexanderDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India.
Rohini KaluveDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India.
Sumithra SelvamDivision of Epidemiology, Biostatistics and Population Health, St. John's Research Institute, St John's Medical College, Bangalore, Karnataka, India.
Rakesh RameshDepartment of Surgical Oncology, St. John's Medical College and Hospital, Bangalore, Karnataka, India.
Srinath B SDepartment of Surgery, Sri Shankara Cancer Hospital and Research Centre, Bangalore, Karnataka, India.
Jyothi S PrabhuDivision of Molecular Medicine, St. John's Research Institute, St. John's Medical College, Bangalore, Karnataka, India. jyothi@sjri.res.in.ORCID 0000-0002-2269-3704

Funding

DBT-Wellcome Trust India Alliance IA/CPHI/18/1/503938Wellcome Trust
6 · The paper itself

Abstract

Breast cancer (BC) among premenopausal women is an aggressive disease associated with poor outcome despite intensive treatment. Higher burden is observed in southeast Asian countries attributed to younger population structure. We compared the reproductive and clinicopathological characteristics, distribution of subtypes and survival between pre and postmenopausal women from a retrospective cohort of BC patients with median follow up over 6 years to examine the differences. In our cohort of 446 BC patients, 162/446 (36.3%) were premenopausal. Parity and age at last childbirth were significantly different between pre and postmenopausal women. Premenopausal BC had a higher proportion of HER2 amplified and triple negative breast cancer (TNBC) tumors (p = 0.012). Stratified analysis by molecular subtypes showed TNBC had significantly better disease free (DFS) and overall survival (OS) among premenopausal group (mean survival, pre vs. post, DFS = 79.2 vs. 54.0 months, OS = 72.5 vs. 49.5 months, p = 0.002 for both). Analysis on external datasets (SCAN-B, METABRIC) confirmed this finding for overall survival. Our data confirmed the previously observed association of clinical and pathological features between pre and postmenopausal BC. Exploration of better survival among premenopausal TNBC tumors is warranted in larger cohorts with long term follow up.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansPostmenopausePrognosisRetrospective StudiesErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID36894588
PMCPMC9998443

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